Western Oregon University
Employee Benefits Statement
As of May 21, 2008

Bxxxx x Xxxxxxxx
31xxx SW Oxxxxxx Dr
Wixxonxx, OR 970xx


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 Code   Benefit                              Opt  Coverage Level
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CPEBB Basic Life $5,000                      Employee $5,000 Basic Life
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LAE Employee                                 50000
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ODS Dental Preferred Pre-Tax                 Employee + Spouse +

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PEBB Medical Plan Opt Out                    Opt Out Contributi

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